This leadership role oversees nursing and clinical services in an Ambulatory Surgery Center (ASC), ensuring high-quality patient care in compliance with all regulations and standards. The manager collaborates with various medical and administrative staff to maintain a safe, efficient, and patient-centered surgical environment. The position suits a highly motivated clinical leader with experience in ASC leadership and regulatory compliance, who is willing to actively analyze operations and provide staffing support.
Responsibilities
Direct and oversee day-to-day nursing and clinical operations of the ASC
Ensure appropriate nursing care throughout the perioperative process, including pre-operative, intra-operative, and post-anesthesia recovery services
Promote and maintain a culture of patient safety and regulatory compliance
Ensure appropriate implementation of physician orders and established clinical protocols
Monitor patient care practices and intervene when patient safety or quality concerns are identified
Ensure emergency equipment, medications, supplies, and clinical resources are available and maintained appropriately
Participate in emergency preparedness activities, drills, and staff education
Ensure appropriate infection prevention practices are consistently followed
Provide leadership, supervision, coaching, and direction to clinical staff
Participate in recruitment, interviewing, selection, orientation, and onboarding of clinical personnel
Develop clinical staffing schedules based on patient volume, procedure complexity, staff competency, and operational requirements
Verify that clinical staff maintain required licenses, certifications, competencies, and training
Conduct and document initial and ongoing staff competency assessments
Identify performance deficiencies and implement education, counseling, corrective action, or performance improvement measures as appropriate
Conduct or participate in employee performance evaluations
Promote teamwork, accountability, professionalism, effective communication, and a positive workplace culture
Ensure appropriate staffing and skill mix for scheduled procedures
Assist the Administrator and Medical Director in maintaining compliance with applicable ASC requirements, including CMS Conditions for Coverage, state licensing requirements, OSHA requirements, infection prevention standards, and applicable accreditation standards
Maintain readiness for regulatory and accreditation surveys
Participate in survey preparation, surveys, plans of correction, and follow-up activities
Ensure required clinical policies and procedures are implemented and followed
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Assist with review and periodic revision of nursing and clinical policies
Ensure required clinical documentation, logs, inspections, and records are properly maintained
Participate in Governing Board and Medical Executive Committee activities when requested or required
Participate in the facility's Quality Assessment and Performance Improvement (QAPI) program
Identify opportunities for clinical performance improvement and patient safety initiatives
Assist with development, implementation, monitoring, and reporting of quality improvement projects
Monitor clinical quality indicators, patient outcomes, medication errors, adverse events, infections, transfers, incidents, and other quality measures
Participate in root-cause analysis and corrective-action activities when appropriate
Report significant clinical or patient safety concerns promptly to the Administrator and Medical Director
Work collaboratively with the designated Infection Preventionist to maintain an effective infection prevention and control program
Ensure compliance with hand hygiene, sterilization, disinfection, environmental cleaning, safe injection practices, and other infection prevention requirements
Monitor staff compliance with infection prevention policies and provide education or corrective action when necessary
Participate in infection surveillance and reporting activities
Coordinate clinical preparation for scheduled surgical procedures
Ensure appropriate supplies, medications, equipment, implants, and clinical resources are available for scheduled cases
Collaborate with surgeons, anesthesia providers, surgical technologists, materials management, and administrative staff regarding clinical needs
Ensure appropriate pre-operative assessment, medication reconciliation, surgical site verification, time-out procedures, recovery, and discharge processes are followed
Ensure safe medication management practices and appropriate medication storage, security, documentation, and reconciliation
Maintain appropriate standards for controlled substances in coordination with facility leadership and pharmacy services
Develop and coordinate clinical orientation and continuing education programs
Maintain documentation of required clinical competencies and training
Ensure staff maintain required certifications such as BLS, ACLS, and other certifications appropriate to their assigned responsibilities
Coordinate competency validation for clinical equipment, emergency procedures, infection prevention, medication administration, and other required areas
Conduct or coordinate mock emergency drills and clinical training exercises
Collaborate with the Administrator regarding staffing, scheduling, budgeting, purchasing, and operational planning
Assist in controlling clinical labor, supply, and operational costs while maintaining patient safety and quality
Participate in evaluation and selection of clinical equipment and supplies
Assist with inventory management and appropriate utilization of supplies
Attend required leadership, staff, quality, and committee meetings
Communicate operational and clinical concerns promptly to the Administrator
Perform other duties reasonably related to the position as assigned by the Administrator or Governing Board
Requirements
Current, unrestricted Registered Nurse (RN) license in the state in which the ASC operates
Graduate of an accredited professional nursing program
Current BLS certification
ACLS certification required or obtained within the timeframe established by facility policy
Minimum of 10 years of clinical nursing experience, preferably in perioperative, surgical, PACU, critical care, or ambulatory surgery
Previous nursing leadership or supervisory experience
Knowledge of perioperative nursing standards, infection prevention, patient safety, medication management, and emergency procedures
Knowledge of ASC regulatory and accreditation requirements preferred
Strong clinical judgment and patient-safety awareness
Effective nursing leadership and personnel-management skills
Ability to appropriately supervise and hold clinical personnel accountable
Strong organizational and time-management abilities
Effective verbal and written communication
Ability to manage multiple priorities in a fast-paced surgical environment
Knowledge of clinical documentation and electronic medical records
Ability to identify clinical risks and implement corrective actions
Ability to work collaboratively with surgeons, anesthesia providers, staff, administration, and facility ownership
Professionalism, discretion, integrity, and appropriate handling of confidential information
Nice to have:
Bachelor's degree in Nursing (BSN)
Master
At least 5 years in an ASC surgical-services leadership experience
CNOR, CAPA, CPAN, CASC, or other applicable professional certification
Experience with CMS and ASC accreditation surveys
Experience with QAPI, infection prevention, staff competency programs, and regulatory compliance
Experience with HST and E-Chart
Compliance and Accreditation Survey Experience
Important Details
Supervises: Registered Nurses, LVNs/LPNs, Surgical Technologists, and other assigned clinical personnel
About the Company
This Ambulatory Surgery Center provides surgical services.